Individual provider Active NPI

Samuel James Nemati, FNP

  • Primary Care Nurse Practitioner
  • Kilgore, TX
National Provider Identifier
1275299661
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F06240651 Issued in TX
Practice address
5174 FM 1252 W
Kilgore, TX 75662-1961
Phone
(903) 986-1901
Fax
(903) 984-6151
NPI assigned
Nov 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 958871 TX
Primary Care Nurse Practitioner 363LP2300X F06240651 TX Primary

Addresses

Primary practice location

5174 FM 1252 W
Kilgore, TX 75662-1961

Mailing address

5174 FM 1252 W
Kilgore, TX 75662-1961
Phone (903) 986-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821001304 TX Practitioner - Nurse Practitioner 9739627753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Clinics of LongviewGroup PAC ID 7214016559, 38 clinicians

Practice addresses (Care Compare)

802 Medical Dr
Suite 205
Longview, TX 75605-5208
Phone (903) 291-6280

Hospital & facility affiliations

  • Elite Home Health Home health agency, Longview, TX, CCN 453182
  • Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090
  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
958871TXMDCritical Care Medicine Registered Nurse
F06240651TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Clinics of Longview CurrentSince Aug 1, 2024 Accepting new patients
Diagnostic Clinic of Longview PA Past Accepting new patients

Locations

5174 FM 1252 W
Kilgore, TX 75662
Phone (903) 315-5600

802 Medical Cir
Ste 205
Longview, TX 75605
Phone (903) 291-6209

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samuel.nemati.1@16432.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1275299661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 FM 1252 W",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756621961",
            "telephone_number": "903-986-1901",
            "fax_number": "903-984-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5174 FM 1252 W",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756621961",
            "telephone_number": "903-986-1901",
            "fax_number": "903-984-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMATI",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "958871",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "F06240651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilgore, TX

Sources for this page

Verify at the official NPI Registry.